Individual
SAMMY ELYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 S MAIN ST, BLACKSBURG, VA 24060-7017
(540) 951-1111
Mailing address
120 N CEDAR ST APT 3816, CHARLOTTE, NC 28202-1293
(202) 790-0756
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016-00071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13477061
PHCS/MULTIPLAN
NC
05
—
1447657150
—
NC
01
—
19H2J
BCBS OF NC
NC
01
—
260609
MEDCOST
NC
01
—
4791598
AETNA
NC
01
—
5339371
CIGNA - GREATWEST
NC
01
—
5881078
UNITED HEALTHCARE
NC
01
—
FH1101980
FIRST CAROLINA CARE
NC
Enumeration date
11/24/2014
Last updated
04/30/2018
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